Please review your transaction summary below. To complete your gift, scroll to the bottom of this page and click the Process button.
If you need to change any of the information pertaining to your donation, please use the Previous button which is also found at the bottom of this page.
|
| Amount: | |
| Gift Direction: | BAWA Black Student Relief Fund |
|
| First Name: | |
| Last Name: | |
| Street Address 1: | |
| Street Address 2: | |
| City: | |
| Province/State: | |
| Postal/Zip Code: | |
| Country/Region: | |
| Phone Number: | |
| Email Address: | |
| Relationship To Western: | |
| Email Opt In: | |
|
| Anonymous Donation: | |
|
| First Name: | |
| Last Name: | |
| Street Address 1: | |
| Street Address 2: | |
| City: | |
| Province/State: | |
| Postal/Zip Code: | |
| Country/Region: | |
|
| Payment Type: | Credit Card |
| Credit Card Number: | |
| Credit Card Expiration Date: | |
